| NPI | 1710084827 |
|---|---|
| Doing Business As | ATALLA PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | FOUAD V ATALLA President/Owner 270-796-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 33744) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-07 |